Healthcare BPO Market (By Services: Payer Service [Claim Management, Integrated Front-end Services and Back-office operations, Member Management, Provider Management, Billing and Accounts Management, Analytics and Fraud Management, HR Services], Provider Service [Medical Billing, Medical Coding, Medical Transcription, Finance & Accounts], Pharmaceutical Service [Research and Development, Manufacturing, Non-clinical Service]) - Global Industry Analysis, Market Size, Opportunities and Forecast 2020 - 2027

Category : Healthcare and Pharmaceuticals | Delivery Format : PDF | Status: Published | Pages : 190

The market for healthcare BPO is expected to grow at a CAGR of around 9.4% from 2020 to 2027 and expected to reach the market value of around US$ 385.8 Bn by 2027.

Healthcare BPO (Business Process Outsourcing) refers to the outsourcing done by the healthcare provider or organization for some or all of its business processes remotely. The remote work is usually done in countries like India or the Philippines due to the lower cost of labor. The service providers deliver intelligent health operations that improve patient outcomes by keeping costs under control and increase consumer and provider engagement.

Market Dynamics

The regulatory changes in the US along with the implementation of the Patient Protection and Affordable Care Act (PPACA) are supporting the demand for payer services in the market. Continuous pressure to reduce rising healthcare costs so that most of the people can take the benefit of healthcare solutions is supporting the market growth. The increasing demand for niche services, loss of revenue due to billing errors, increasing consolidation in the healthcare industry, and need for structured processes, documentation is some of the other factors bolstering the market growth. The patent cliff along with the increasing R&D costs and strict regulations in the pharmaceutical service market is further bolstering the market growth.

On the other hand, hidden costs of outsourcing, fear of losing visibility and control over the business process are likely to restrict the market growth.

Segment Instance

Pharmaceutical Service segment is leading the market with significant share in terms of revenue

In 2019, the pharmaceutical service segment is leading the global market with maximum revenue share, and the region is also projected to maintain its dominance over the forecast period from 2020 to 2027. The pharmaceutical service segment is further divided into research and development, manufacturing, non-clinical service including supply chain management and logistics, sales, and marketing services, and other non-clinical services. The emergence of contract sales organizations in the pharmaceutical industry are further accelerating the segmental market value.

North America accounted for the maximum revenue share in the Healthcare BPO Market

In 2019, North America is leading the market with maximum revenue share in the healthcare BPO market, and the region is also projected to maintain its dominance over the forecast period from 2020 to 2027. The presence of a well-established healthcare sector and increasing demand for outsourcing in order to decrease cost along with timely and efficient results is bolstering the regional market growth. Additionally, Asia Pacific is projected to experience the fastest growth throughout the forecast timeframe from 2020 to 2027. Developing healthcare and information technology infrastructure is supporting the regional market value. The major developing economies of the region including China and India are bolstering the regional market growth.

Key Market Players

The players profiled in the report include Accenture (Ireland), Eli Global (US), GeBBs, Genpact (US), IBM (US), IQVIA (US), Parexel (US), Sutherland (US), Truven Health (US), United Health Group (US). The major market players were involved in mergers and acquisitions, partnerships & collaborations, and new Source development for the expansion of market share (%).

Market Segmentation

Market By Services

Payer Service

  • Claim Management
  • Integrated Front-end Services and Back-office operations
  • Member Management
  • Provider Management
  • Billing and Accounts Management
  • Analytics and Fraud Management
  • HR Services

Provider Service

  • Medical Billing
  • Medical Coding
  • Medical Transcription
  • Finance & Accounts

Pharmaceutical Service

  • Research and Development
  • Manufacturing
  • Non-clinical Service
    • Supply Chain Management and Logistics
    • Sales and Marketing Services
    • Other Non-clinical Services

Market By Geography

North America

  • U.S.
  • Canada

Europe

  • UK
  • Germany
  • France
  • Spain
  • Rest of Europe

Asia-Pacific

  • China
  • Japan
  • India
  • Australia
  • South Korea
  • Rest of Asia-Pacific

Latin America

  • Brazil
  • Mexico
  • Rest of Latin America

Middle East & Africa

  • GCC
  • South Africa
  • Rest of Middle East & Africa


Frequently Asked Questions

The market for healthcare BPO is expected to reach a market value of around US$ 385.8 Bn by 2027.

The healthcare BPO market is expected to grow at a CAGR of around 9.4% from 2020 to 2027.

Pharmaceutical Service is the leading segment by services in the healthcare BPO market

The regulatory changes in the US with the implementation of Patient Protection and Affordable Care Act (PPACA), Continuous pressure to reduce rising healthcare costs, increasing demand for niche services, loss of revenue due to billing errors, increasing consolidation in the healthcare industry, and need for structured processes & documentation are some of the factors driving the market growth.

Accenture (Ireland), Eli Global (US), GeBBs, Genpact (US), IBM (US), IQVIA (US), Parexel (US), Sutherland (US), Truven Health (US), and United Health Group (US) are the prominent players in the market.

North America held the highest market share in the healthcare BPO market

Asia Pacific is expected to be the fastest growing market over the forecast period

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